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concerning the conditions and issues of treatment on the temporary premises had been implemented
by the institution and its new supervisory authority, the General Directorate of Social Affairs and Child
Protection after moving back to the permanent premises.
At the time of the visit, the institution with the capacity of 100 provided care to 94 persons living with
disabilities. The residents have practically no hope to move out of the institution and start an
independent life. Two residents died, and one was transferred to another institution in 2016. Up to the
date of the visit n 2017, three residents died.
There were one interim head of the institution and one head of the nursing section, four developmental
pedagogues, two social and mental health workers, two activity-organizers, one leisure-time organizer,
22 caretakers, eight nurses, one material manager, and one laundry worker employed in the institution.
In my 2015 Report, I requested the head and the supervisory authority of the institution to ensure the
statutory minimum living space (at least six square meters per resident). The follow-up visit established
that this requirement was not met even after moving back to the permanent premises. I requested the
new supervisory authority, the General Directorate of Social Affairs and Child Protection to ensure at
least six square meters of living space per resident in the residential rooms.
The institution had fewer bathtubs and showers than specified by the relevant legal regulation. The
statutory minimum number of toilets was not ensured to the male residents, either. I requested the
institution’s supervisory authority to renovate the sanitary unit in order to ensure the statutory number
of bathtubs, showers, and toilets for both sexes.
Through the eye-level, transparent glass inserts of the bathroom doors, one could look into the
bathrooms. The staff could not make sure that female and male residents would be bathed exclusively
by female and male nurses, respectively. I asked the head of the institution to ensure that no one could
look into the bathrooms from the hallway. I suggested to install partitions between the bathtubs and
that the personnel should try and ensure that residents would be bathed by nurses of the same sex.
The daily menus did not indicate either the calorie values of the meals or the list of macronutrients; the
menus were not displayed so that the residents could see them. I asked the head of the institution to
ensure that calories and nutrients were taken into account when preparing the menu (including the
menu for residents on special diet) and that the menu was displayed in a visible place. Several of the
residents were on special diet, some of them received, in addition, formula. There was a resident who
accepted only a few spoonsful of food; he was skinny and weak. One of the residents with diabetes
would have hypoglycemic attacks if he did not eat enough. In my report, I pointed out that special
attention must be paid to the nutrient content of the special diets of diabetic, emaciated, and formulafed residents. I asked the head of the institution to ensure that the raw material chart was updated in
order to guarantee that residents on special diet received the necessary nutrients. Since neither the taste
nor the consistency of the dishes tried by the members of the visiting delegation was acceptable, I
asked the head of the institution to take the necessary measures to have both the consistency and the
taste of meals improved.
In my 2015 Report, I recommended the regular health checks of the residents, with special attention to
the residents with psycho-social disability. The follow-up visit established that the general practitioner
did not see all residents on a regular basis and the psychiatrist did not check regularly the condition of
the residents taking antipsychotics or antidepressants. I reiterated my request to the head of the
institution to ensure that the GP and the psychiatrist regularly examined all residents, and to monitor
the documentation of their state of health and medication. As the majority of residents had bad teeth, I
also asked the head of the institution to ensure the immediate provision of dental check-ups and dental
care.
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